Organization Active NPI

Wellpath Integrative Radiation PC

  • Radiation Oncology Physician
  • Bensalem, PA
National Provider Identifier
1528211125
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD422515 Issued in PA
Legal business name
WELLPATH INTEGRATIVE RADIATION PC
Practice address
3300 Tillman Dr
Radiation Oncology Department
Bensalem, PA 19020-2030
Phone
(215) 633-3444
Fax
(215) 639-9607
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry J Styles, MD
Title
Owner
Phone
(205) 633-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X MD422515 PA Primary

Addresses

Primary practice location

3300 Tillman Dr
Radiation Oncology Department
Bensalem, PA 19020-2030

Mailing address

PO Box 95000-3615
Philadelphia, PA 19195-0001
Phone (215) 633-3444

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1528211125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-3615",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191950001",
            "telephone_number": "215-633-3444",
            "fax_number": "215-639-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TILLMAN DR",
            "address_2": "RADIATION ONCOLOGY DEPARTMENT",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202030",
            "telephone_number": "215-633-3444",
            "fax_number": "215-639-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPATH INTEGRATIVE RADIATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "STYLES",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-633-3444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD422515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.